Vaginoplasty and Phalloplasty

For genital surgery, two letters of support from mental health clinicians are required. Meet with two fully licensed mental health clinicians who are knowledgeable about gender identity, and who are able and willing to write letters of support for surgery. Contact us if you need a referral to such a clinician.

Ensure that each mental health clinician sends a letter of support for the surgery to: CGSP, 2025 Traverwood Dr., Ann Arbor, MI 48105. The letter may also be faxed to 734-998-2152. The letter must come directly from the therapist to CGSP via mail or fax. If your therapist does not have experience writing letters of support for medical intervention for transgender people, please encourage them to contact us before writing the letter.

For each of the two letters, send CGSP a release, signed by you, allowing CGSP staff to speak to the therapist who wrote the letter of support for surgery, in the event that CGSP staff needs to reach the therapist to discuss their letter. We are not able to process the letter without a release.

Our surgeons require that all hair at the surgical site is permanently removed. Patients seeking a vaginoplasty should begin the hair removal process prior to the consultation with the surgeon, following the hair removal diagram below. Patients seeking a phalloplasty must wait to begin hair removal until after the consultation with the surgeon, as a hair removal diagram unique to the technique used for a particular individual will be shared at the consultation.

CGSP must receive both letters within a few months of each other, as they must both be dated within six months of the date you see the surgeon for your consultation appointment. If CGSP receives one letter but not a second letter for several months, your case will be considered “inactive.”